Provider Demographics
NPI:1477697225
Name:NOYES, SHELLEY LEE (RN)
Entity Type:Individual
Prefix:MS
First Name:SHELLEY
Middle Name:LEE
Last Name:NOYES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:SHELLEY
Other - Middle Name:LEE
Other - Last Name:WHELAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8945 GOLF LINKS RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-4124
Mailing Address - Country:US
Mailing Address - Phone:415-722-2891
Mailing Address - Fax:
Practice Address - Street 1:3165 OLIN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-1635
Practice Address - Country:US
Practice Address - Phone:415-722-2891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95273437163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse